A new Results Report takes stock of how a US$439 million humanitarian investment from more than 50 donors delivered life-saving assistance to over 22 million people facing the consequences of natural disasters and conflict around the world.

The 2015-2016 El Niño phenomenon has been one of the strongest on record, affecting deeply the lives and livelihoods of more than 60 million people across 40 countries. It has devastated crops and killed livestock, in some cases dried up water-sources in others caused massive flooding, driven up malnutrition rates, increased disease outbreaks and caused significant migration.

2014 was a devastating year with record numbers of people living in internal displacement induced by conflict, violence, disasters and natural hazards. Meeting the immense needs generated by these calamities remains one of the most challenging humanitarian tasks faced by the international community in modern times. To address these serious situations, IDMC in 2014 published 20 country overviews, 2 global reports, 8 thematic/technical reports, 32 blogs, 8 briefing/discussion papers, 22 submissions to human rights bodies.

Myanmar: Fighting between the Myanmar army and the MNDAA, an insurgent group in the Kokang area of Shan state, displaced tens of thousands of people. Some fled into central Myanmar, while between 30,000 and 50,000 are thought to have crossed into Nansan, Yunnan province, China.

Guinea: An increase in Ebola case numbers has been reported for the second consecutive week. Resistance to the response remains high in Forecariah, worst affected by the outbreak; though ten prefectures have reported at least one incident of resistance. Clashes between armed forces and the community were reported in Matoto, Conakry.

DRC: 30,000 refugees have fled CAR for Equateur province since December. In North Kivu, 18,000 new IDPs need humanitarian assistance; another 21,000 are in need in South Kivu. Nationwide, food security is worsening: over one-third of territories are in Crisis or Emergency phases.

Nigeria: Boko Haram attacks continue, with Borno state capital Maiduguri and nearby military bases targeted on 25 January. Security forces pushed BH back from Maiduguri, but further attacks are expected. BH also raided villages in Michika local government area, Adamawa state. There are reports that BH has forbidden the use of vehicles in areas under its control.

Cameroon: 50,000 people are estimated displaced due to the recent increase in Boko Haram (BH) attacks in the northern regions. In the past week, an attack on a military base in Kolofata resulted in 143 BH killed, subsequently, BH kidnapped 80 people from one village – with three killed and 24 later released. The conflict has escalated regionally, with Chad pledging military support in Cameroon’s fight against Boko Haram.

Nigeria: Violence has escalated significantly in the northeast. Boko Haram killed more than 2,100 people in the first 11 days of the year. Most were killed in an attack on the town of Baga and surrounding settlements in Borno state, on Lake Chad. Up to 20,000 people were displaced. Other attacks took place in Maiduguri, Damaturu, and Potiskum.

Ethiopia: Waters have begun to recede from Leitchuor refugee camp in Gambella, but few refugees have returned to the camps so far, where alarming rates of severe malnutrition persist: 5.7% in Leitchuor, 7.8% in Kule, and 10% in Tierkidi. In SNNPR, flooding was reported, while in Oromia, water trucking has begun for populations affected by drought.

Central African Republic: About 20,000 displaced people are seeking refuge in isolated rural areas in Ouham province following the arrival of armed groups in Boguila, Kouki and Nana Bakassa on 25 October. Nearly 1,000 people have been displaced since July in Bambari following violence in Batobadja and Matchika, and 4,000 have been displaced since January to Berberati town in Mambere province.

DRC: A resurgence of ADF-NALU attacks in North Kivu are thought to have displaced 100,000 people, and killed at least 80. In South Kivu, there has been a significant increase in IDPs, mainly due to insecurity in Shabunda and Fizi territories. 7.3 million people across the country are estimated to be food insecure.

The U.S. expanded its aerial campaign against Islamic State (IS) militants in late September with strikes in Syria’s north and east. The operation, which targets both IS and fighters linked to al-Qaeda’s central leadership and the affiliated group Jabhat al-Nusra, risks alienating other rebel groups in Syria and strengthening support for IS.

Ebola in Liberia, Sierra Leone, and Guinea: As a three-day countrywide shutdown came to an end in Sierra Leone, the UN Security Council set up a special mission to lead the global response to the Ebola outbreak. More than 5,800 cases have been reported since the beginning of the outbreak, including 2,800 deaths, and more than 13.5 million people are now considered in need of assistance as the impact of the epidemic spreads.

Ebola in Liberia, Sierra Leone, and Guinea: Transmission remains high, and case numbers doubled between the last week of August and the first of September in Liberia; in Sierra Leone 150 cases were reported for each of the last two weeks. Fewer cases have been reported in Guinea – 49 between 5 and 7 September – but the case fatality rate has been extremely high, at 65%.